CHLB Center for Mental Health NOC Shift BHW Duties and Responsibilities

          I just finished my 3 month probationary period in my new job as a Behavioral Health Worker, and while in orientation the first couple of weeks, I learned about my duties and responsibilities, which I now list below. Although the list may  be longer than what I had to do as a care manager in assisted living, it is not as physically demanding. At least not yet.

          First of course is clocking in to work, then checking the assignment sheet to find out if I'm assigned to Unit A, Unit B, or the Geropsych unit one floor up. Then all the staff hang around the lobby area between Unit A and Unit B in what they call the huddle. During the huddle a short report is given on the number of patients on each unit, how many possible admissions are expected, and how many are being evaluated in the emergency room downstairs or in other hospitals. Reminders are also given on any special things that need to be done. After the huddle, we proceed to our assigned units to listen to report about the patients from the day shift.

          Then we do our first rounds checking the location and behavior of the patients. We do this every 15 minutes throughout the shift. Next, we check the vital signs of all patients (temperature, pulse, respirations, and blood pressure). We are usually accompanied by a registered nurse so they can also check on their assigned patients. After all vital signs are done, we give a copy of the vital signs sheet to each nurse, then we enter the results in the Epic electronic medical records on the computer.

This is as far as I will write in narrative form. What follows is the list of my other duties:

• Make sure water container has cold water (add ice from freezer as needed).
• Assist with admissions as they come in (vital signs, papers signed, belongings; contraband; valuables check).
• Snacks at 2030, Canteen run to vending machines,  and Contraband time right afterwards.
• Prepare new rounds sheets for next day. File old rounds sheets at midnight.
• Break down discharged patients charts & keep dividers in binders. Place D/C chart in cabinet near copying machine.
• Make admission chart packs after 2300. Put nursing paperwork and admit packs in empty binders for new admissions.
• Clean tables in dining room with disinfectant wipes. Order staff pantry supplies from Dietary Department as needed (fill out form then fax). Straighten out dayroom, contraband room and donated clothes (in solarium) as needed.
• On geropsych unit, give a shower to at least one patient in the morning (red key in nurse's station for shower & vending)
• Continue Q-15 minute checks throughout the shift. Approximately 5:30 a.m., enter patient's number of hours of sleep and sleep quality in EPIC./ Print out vital signs sheet and meal/shower/BM log for the a.m. shift./Serve decaf coffee at 0600.

Admission papers:  BHW - Release of Information, Notification of Patient Admission, Telephone List, Consent to Photograph, Patient's Rights, Valuables List, Rounds Sheet.

                                 RN - Medication consent , Interdisciplinary Treatment Plan (multi page), Physician's Initial Assessment, Skin Assessment, Patient Education Record, Discharge Recommendation.

EPIC for BHW's:

• Log in. To find your patients: Click System List on left side, Click Units-CMH. Click CMH 4A or 4B or 5. Click and drag Unit chosen to My list on top of left side of screen.
• To chart vital signs: double click on a patient's name to open his/her chart. On left side of the screen, click Doc Flowsheets. On the tabs on top, click Vital Signs. Enter the vital signs in the designated areas. When done, click File on upper left corner. Close the chart by clicking the X next to the patient's name. Double click on the next patient name on the list and repeat above instructions.
• To print labels and ID wristband: on the left side where you found Doc Flow sheets earlier, click Form Reprint. Click on what you want to print and enter how many, then click Print.
• To chart hours and quality of patient sleep: as above, click on Doc Flowsheets, click Sleep on left side, enter number of hours in designated area, click Quality of Sleep, choose appropriate description from drop down list or type in your own comment (F6 key), click File on upper left corner, close the chart by clicking the X next to the patient's name. Double click on the next patient name on the list and repeat above instructions.

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NOC Shift BHW Duties and Responsibilities for South Campus (Revised 6/23/11)

Since I don't have anything else to write about, this is what I'm going to post. Ever since my job switched to electronic medical records a couple of months ago, some of my duties and responsibilities have changed and/or have been rearranged. In 2006 I independently made an orientation checklist for new Behavioral Health Workers (or mental health workers) and also as a reminder for old ones in case they have forgotten what they have to do. The checklist below shows the current responsibilities shared by all BHW's.

*Get report from day shift.

*Q-15 minute checks on all assigned patients.

*Pass out snacks at 8:00 p.m.

*Monitor free phone calls at 8:00 p.m.

*Vital Signs – all patients need orthostatic vital signs taken at start of shift. Make 4 copies afterwards and give one to Team 1, 2, and 3 RN’s and Med Room.

*Chart vital signs, nutrition, and ADL’s in Cerner Powerchart.

*Put stickers on Close Observation (Q15 minute checks) Sheets

*Check stickers binder first to see if it is up to date: contains all the patients names in them and in the correct rooms. If any are missing, check the charts if there are some in them. If not, ask the charge nurse to print some out.

*Mark precautions (everybody is automatically on Fall Precautions), write in date and room number of both sides of the Close Observation (Q15 minute checks) Sheets.

*Update Roster (South Campus Combined Precautions Diet Meal & Shower Log) with patient names, precautions, and diet then print out to put on clipboard for day shift.

*Update Goals and Reflections sheet then print out to put on clipboard for day shift.

*Update South Campus NEW Orthostatic Vital Signs sheet for NOC shift.

*Update VITALS-Sherrie Version for A.M. shift then print out to put on clipboard for day shift.

*Monitor smoke breaks at 9:15 p.m. and 6:45 a.m.

*Turn off phones and close dayroom for housekeepers to clean at 10 p.m.

*Insert forms from chart packs in empty chart binders in preparation for new admissions.

*Assemble new chart packs

*When the chart packs in folders run low in the basket, put in new packs in folders and refill the basket.

*Admissions: Check vital signs, height, and weight. Have patient sign forms then witness them. Inventory property and call Security for valuables to be placed in the safe. Orient patient to unit.

*Check showers for items left behind by patients like: soiled towels, gowns, pajamas, empty plastic bottles.

*Assist patients with ADL’s as needed

*Assist with laundry as needed.

*End of the month: Denial of Rights sheets – make new ones for each patient by filling in Month, Year, Medical Records Number and Legal Status. File each under Graphics divider in chart. Tear off white copy from the previous month and place in case manager’s filing tray.

So there you go. This is my job and that is what I do. Oh, and talk to the patients of course.

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